advice

April 20, 2001

to answer your questions, increase protien intake to 1.5 grams of

protien per pound and cut back on carbs.

bill

> So far I have lost 11.5lbs. I went from 208 to 196.5lbs. I still

> want to lose the love handles though. However, I am concerned I may

> start losing muscle or getting too skinny. What can I do to

increase

> the definition or muscle mass? Should I increase carbs or protein?

> I am into my fifth week.

> Thanks!

> Mark, La.

March 6, 2002

Toity

my thoughts go towards access to information for

evidence based practice, information management in

general and specifically for outcome assessment,

practice development, research and life long learning

opportunities

Copies to:

Priority: NORMAL

From: Toity Deave <toity.deave@...>

Date sent: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

Subject: Re: advice

Send reply to:

[ Double-click this line for list subscription options ]

Cowley, Hean, and myself are interested in

gaining an overview of health visiting (and hopefully

school nursing) roles. This would enable us then, to look

at changing roles, how they extend and try to understand

how they might develop.

We thought to carry out a scoping exercise to find out what

registered health visitors and school nurses are doing -

what roles they are fulfilling. This would provide a

knowledge-base on which any future research could be

grounded.

The type of questions we have thought about relate to the

following: geographical location, urban/rural etc.;

work situation, where based; if they have a

caseload - nature of it, understanding of the term

'caseload'; if no caseload, how do they describe their

responsibilities qualifications and whether they

need the HV qualification for their post; extra work

responsibilities outside immediate caseload; HV's

perceptions of value of work, specific aspects;

support networks eg. clinical supervision.

Have we left anything out that you think would be useful?

I would be grateful if you could let me know if you have

undertaken any similar work (however small), used any

questions you found useful, or have any other suggestions.

Please contact me on toity.deave@... or 020 7848

3527.

Thank you

Toity

----------------------

Dr. Toity Deave

Research Fellow

Primary Care Nursing Research Unit, Rm 2.26

Florence Nightingale School of Nursing and Midwifery

Clerk Maxwell Building

Waterloo Road

London SE1 8WA

Tel: 020 7848 3527

Fax: 020 7848 3792

toity.deave@...

March 6, 2002

Cowley, Hean, and myself are interested in

gaining an overview of health visiting (and hopefully

school nursing) roles. This would enable us then, to look

at changing roles, how they extend and try to understand

how they might develop.

We thought to carry out a scoping exercise to find out what

registered health visitors and school nurses are doing -

what roles they are fulfilling. This would provide a

knowledge-base on which any future research could be

grounded.

The type of questions we have thought about relate to the

following: geographical location, urban/rural etc.;

work situation, where based; if they have a

caseload - nature of it, understanding of the term

'caseload'; if no caseload, how do they describe their

responsibilities qualifications and whether they

need the HV qualification for their post; extra work

responsibilities outside immediate caseload; HV's

perceptions of value of work, specific aspects;

support networks eg. clinical supervision.

Have we left anything out that you think would be useful?

I would be grateful if you could let me know if you have

undertaken any similar work (however small), used any

questions you found useful, or have any other suggestions.

Please contact me on toity.deave@... or 020 7848

3527.

Thank you

Toity

----------------------

Dr. Toity Deave

Research Fellow

Primary Care Nursing Research Unit, Rm 2.26

Florence Nightingale School of Nursing and Midwifery

Clerk Maxwell Building

Waterloo Road

London SE1 8WA

Tel: 020 7848 3527

Fax: 020 7848 3792

toity.deave@...

March 6, 2002

Hi Toity,

How about if their caseload is GP attached or whether they work a

geographical area or possible a combination. (See this month's journal re

'Whole systems approach'.)

Re: advice

> Send reply to:

>

> [ Double-click this line for list subscription options ]

>

> Cowley, Hean, and myself are interested in

> gaining an overview of health visiting (and hopefully

> school nursing) roles. This would enable us then, to look

> at changing roles, how they extend and try to understand

> how they might develop.

>

> We thought to carry out a scoping exercise to find out what

> registered health visitors and school nurses are doing -

> what roles they are fulfilling. This would provide a

> knowledge-base on which any future research could be

> grounded.

>

> The type of questions we have thought about relate to the

> following: geographical location, urban/rural etc.;

> work situation, where based; if they have a

> caseload - nature of it, understanding of the term

> 'caseload'; if no caseload, how do they describe their

> responsibilities qualifications and whether they

> need the HV qualification for their post; extra work

> responsibilities outside immediate caseload; HV's

> perceptions of value of work, specific aspects;

> support networks eg. clinical supervision.

>

> Have we left anything out that you think would be useful?

> I would be grateful if you could let me know if you have

> undertaken any similar work (however small), used any

> questions you found useful, or have any other suggestions.

>

> Please contact me on toity.deave@... or 020 7848

> 3527.

>

> Thank you

> Toity

>

> ----------------------

> Dr. Toity Deave

> Research Fellow

> Primary Care Nursing Research Unit, Rm 2.26

> Florence Nightingale School of Nursing and Midwifery

> Clerk Maxwell Building

> Waterloo Road

> London SE1 8WA

> Tel: 020 7848 3527

> Fax: 020 7848 3792

> toity.deave@...

>

March 6, 2002

I would agree.

I find that many nurses still do not recognise that there are other agencies

out there doing work with young people.

School Nurses do (or should not) not work only within schools anymore. More

and more work is being done out of school and hopefully there will be more

recognition of the need for all year round school nurse work as

highlighted by the Climbie enquiry.

Some interesting activities I have been involved in of recent times include:

-multiagency mental health training in secondary schools -SNs, Camhs, Youth

Workers, Health promotion and GPs. It was wonderful watching the young

people and Gps undertaking a dialogue in small groups and then the whole

year confronting the Gps with questions at the end. (They are two very good

GPs). This grew out of me going to meetings etc and commenting on SN

concerns about a school's needs. The PCG mental health lead took this on

board and stared the ball rolling. It is continuing now led by SNs.

-A multi agency parenting group is being planned- EWO, SN, Camhs, Social

Services, Voluntary groups and hopefully Youth Workers. This was an idea of

the EWo's who I knew and after a corridor conversation it has grown.

-I teach on a multi agency drugs interventions course for those working

with young people. This has been brilliant and often in my own time.

However, the rewards I have received through networking, educating others

about school nursing as well as learning about the other agencies have been

so worthwhile. I feel I have a much broader vision ad try to pass this on to

fellow health professionals.

-Junior Citizen is a multi agency activity for last year primary children,

organised by the police. I know many School nUrses will have been involved

with this for years. However, in my Trust we had never been able to say yes

for some reason until last year I had a dynamic specialist practice student

who offered to do it . It went so well and now I am in the position to say

yes. There is a VIP day and so I have suggested that they invite the PCT's

new Chairman along!

Nicky

March 6, 2002

Toity

Sure Start has had a big impact on the role in lots of ways. One that I

think on at the moment concerns the building of an epidemiological base to

work from that is created by the Hv's themselves through the demands and

with the help of Sure Start. This means creating a different sort of

awareness of statistics and this alters the role for the Sure Start HV and

also for his/her colleagues who may not be involved in Sure Start but find

it impacts on their own work in a variety of ways. So in a way it changes

everyone's role. I can elaborate if you need me to.

>From: Toity Deave <toity.deave@...>

>Reply-

>

>CC:

>Subject: Re: advice

>Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

>

> Cowley, Hean, and myself are interested in

>gaining an overview of health visiting (and hopefully

>school nursing) roles. This would enable us then, to look

>at changing roles, how they extend and try to understand

>how they might develop.

>

>We thought to carry out a scoping exercise to find out what

>registered health visitors and school nurses are doing -

>what roles they are fulfilling. This would provide a

>knowledge-base on which any future research could be

>grounded.

>

>The type of questions we have thought about relate to the

>following: geographical location, urban/rural etc.;

> work situation, where based; if they have a

>caseload - nature of it, understanding of the term

>'caseload'; if no caseload, how do they describe their

>responsibilities qualifications and whether they

>need the HV qualification for their post; extra work

>responsibilities outside immediate caseload; HV's

>perceptions of value of work, specific aspects;

>support networks eg. clinical supervision.

>

>Have we left anything out that you think would be useful?

>I would be grateful if you could let me know if you have

>undertaken any similar work (however small), used any

>questions you found useful, or have any other suggestions.

>

>Please contact me on toity.deave@... or 020 7848

>3527.

>

>Thank you

>Toity

>

>----------------------

>Dr. Toity Deave

>Research Fellow

>Primary Care Nursing Research Unit, Rm 2.26

>Florence Nightingale School of Nursing and Midwifery

> Clerk Maxwell Building

>Waterloo Road

>London SE1 8WA

>Tel: 020 7848 3527

>Fax: 020 7848 3792

>toity.deave@...

>

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp.

March 7, 2002

Over 20 years ago I read an editorial in the International Journal

of EPidemiology that real health improvements could only be achieved if we

moved away from disease focused epidemiology to person focused epidemiology.

Sadly I have not since been able to find that editorial since . However, I

believe that the disease focused education and training of doctors is still

dominating health visiting work and that this " breakthrough " in

epidemiological thinking called for 2 decades ago in that editorial is still

very much needed so yes please do tell us more about what is happening on

the epidemiological front of Sure Start.

Regards, Malcolm

Re: advice

> >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> >

> > Cowley, Hean, and myself are interested in

> >gaining an overview of health visiting (and hopefully

> >school nursing) roles. This would enable us then, to look

> >at changing roles, how they extend and try to understand

> >how they might develop.

> >

> >We thought to carry out a scoping exercise to find out what

> >registered health visitors and school nurses are doing -

> >what roles they are fulfilling. This would provide a

> >knowledge-base on which any future research could be

> >grounded.

> >

> >The type of questions we have thought about relate to the

> >following: geographical location, urban/rural etc.;

> > work situation, where based; if they have a

> >caseload - nature of it, understanding of the term

> >'caseload'; if no caseload, how do they describe their

> >responsibilities qualifications and whether they

> >need the HV qualification for their post; extra work

> >responsibilities outside immediate caseload; HV's

> >perceptions of value of work, specific aspects;

> >support networks eg. clinical supervision.

> >

> >Have we left anything out that you think would be useful?

> >I would be grateful if you could let me know if you have

> >undertaken any similar work (however small), used any

> >questions you found useful, or have any other suggestions.

> >

> >Please contact me on toity.deave@... or 020 7848

> >3527.

> >

> >Thank you

> >Toity

> >

> >----------------------

> >Dr. Toity Deave

> >Research Fellow

> >Primary Care Nursing Research Unit, Rm 2.26

> >Florence Nightingale School of Nursing and Midwifery

> > Clerk Maxwell Building

> >Waterloo Road

> >London SE1 8WA

> >Tel: 020 7848 3527

> >Fax: 020 7848 3792

> >toity.deave@...

> >

>

> _________________________________________________________________

> Get your FREE download of MSN Explorer at

http://explorer.msn.com/intl.asp.

>

March 7, 2002

Toity

Have you considered the need for school nurses to play a role in

partnership with teachers in curriculum development and also the possibility

of school nurses developing good links with other agencies around the school

who are also developing health promotion activities and services. ?

Malcolm

Re: advice

> Send reply to:

>

> [ Double-click this line for list subscription options ]

>

> Cowley, Hean, and myself are interested in

> gaining an overview of health visiting (and hopefully

> school nursing) roles. This would enable us then, to look

> at changing roles, how they extend and try to understand

> how they might develop.

>

> We thought to carry out a scoping exercise to find out what

> registered health visitors and school nurses are doing -

> what roles they are fulfilling. This would provide a

> knowledge-base on which any future research could be

> grounded.

>

> The type of questions we have thought about relate to the

> following: geographical location, urban/rural etc.;

> work situation, where based; if they have a

> caseload - nature of it, understanding of the term

> 'caseload'; if no caseload, how do they describe their

> responsibilities qualifications and whether they

> need the HV qualification for their post; extra work

> responsibilities outside immediate caseload; HV's

> perceptions of value of work, specific aspects;

> support networks eg. clinical supervision.

>

> Have we left anything out that you think would be useful?

> I would be grateful if you could let me know if you have

> undertaken any similar work (however small), used any

> questions you found useful, or have any other suggestions.

>

> Please contact me on toity.deave@... or 020 7848

> 3527.

>

> Thank you

> Toity

>

> ----------------------

> Dr. Toity Deave

> Research Fellow

> Primary Care Nursing Research Unit, Rm 2.26

> Florence Nightingale School of Nursing and Midwifery

> Clerk Maxwell Building

> Waterloo Road

> London SE1 8WA

> Tel: 020 7848 3527

> Fax: 020 7848 3792

> toity.deave@...

>

March 7, 2002

Hi Toity

In Warwickshire we are currently reviewing health visiting activities and in

order to collect baseline information have sent a questionnaire to all

health visitors. At the moment we are at the data entry stage, hoping to

produce the report by June. We have also asked all the health visitors to

complete the public health skills toolkit from the Health Visiting

Development Resource Pack in order to identify training needs and to

commission training to meet these needs at Coventry University. We are very

happy to share with you the questionnaire we devised which we based on the

Review of Health Visiting and School Health Services in Wales by June

and Margaret Buttigieg et al. You will see that the data collection

includes: a workforce profile, caseload profile, details of fixed sessions

and group activities, current core health visiting activities and what

should be offered in the future, health visiting models and tools in

practice, sections on skill mix activities, integrated working,

multidisciplinary working and multiagency working (including identification

of any barriers), support and supervision, ETD, profiling, public health

activities, and finally information management ( modified from the CPHVA's

Making IT happen campaign). We piloted the questionnaire before sending it

out but unfortunately it appears there are flaws in one or two areas which

will need to be acknowledged in the report. Hope you find it useful.

Please contact us for any further information. Also we hope to be at

Danbury Park .

Best wishes

Louise Dyke and McNally

Health Visiting Nurse Advisers for Warwickshire

South Warwickshire Combined Care NHS Trust

Tel: 01924 403403

Re: advice

Hi Toity,

How about if their caseload is GP attached or whether they work a

geographical area or possible a combination. (See this month's journal re

'Whole systems approach'.)

Re: advice

> Send reply to:

>

> [ Double-click this line for list subscription options ]

>

> Cowley, Hean, and myself are interested in

> gaining an overview of health visiting (and hopefully

> school nursing) roles. This would enable us then, to look

> at changing roles, how they extend and try to understand

> how they might develop.

>

> We thought to carry out a scoping exercise to find out what

> registered health visitors and school nurses are doing -

> what roles they are fulfilling. This would provide a

> knowledge-base on which any future research could be

> grounded.

>

> The type of questions we have thought about relate to the

> following: geographical location, urban/rural etc.;

> work situation, where based; if they have a

> caseload - nature of it, understanding of the term

> 'caseload'; if no caseload, how do they describe their

> responsibilities qualifications and whether they

> need the HV qualification for their post; extra work

> responsibilities outside immediate caseload; HV's

> perceptions of value of work, specific aspects;

> support networks eg. clinical supervision.

>

> Have we left anything out that you think would be useful?

> I would be grateful if you could let me know if you have

> undertaken any similar work (however small), used any

> questions you found useful, or have any other suggestions.

>

> Please contact me on toity.deave@... or 020 7848

> 3527.

>

> Thank you

> Toity

>

> ----------------------

> Dr. Toity Deave

> Research Fellow

> Primary Care Nursing Research Unit, Rm 2.26

> Florence Nightingale School of Nursing and Midwifery

> Clerk Maxwell Building

> Waterloo Road

> London SE1 8WA

> Tel: 020 7848 3527

> Fax: 020 7848 3792

> toity.deave@...

>

March 7, 2002

Hi Toity et al!

What about exploring what they feel they should be doing but can't, and

why?

Betty

March 7, 2002

Wow! what a lot of innovation - really well done. I love the idea of the

young citizenship. Are any of the Harold Hill HV's tuning in - is this

something that could be developed in our area as we get joint working

progressing???

>From: princesroadbjs@...

>Reply-

>

>Subject: Re: advice

>Date: Thu, 7 Mar 2002 04:37:13 EST

>

>I would agree.

>I find that many nurses still do not recognise that there are other

>agencies

>out there doing work with young people.

>School Nurses do (or should not) not work only within schools anymore.

>More

>and more work is being done out of school and hopefully there will be more

>recognition of the need for all year round school nurse work as

>highlighted by the Climbie enquiry.

>Some interesting activities I have been involved in of recent times

>include:

>-multiagency mental health training in secondary schools -SNs, Camhs, Youth

>Workers, Health promotion and GPs. It was wonderful watching the young

>people and Gps undertaking a dialogue in small groups and then the whole

>year confronting the Gps with questions at the end. (They are two very good

>GPs). This grew out of me going to meetings etc and commenting on SN

>concerns about a school's needs. The PCG mental health lead took this on

>board and stared the ball rolling. It is continuing now led by SNs.

>-A multi agency parenting group is being planned- EWO, SN, Camhs, Social

>Services, Voluntary groups and hopefully Youth Workers. This was an idea of

>the EWo's who I knew and after a corridor conversation it has grown.

>-I teach on a multi agency drugs interventions course for those working

>with young people. This has been brilliant and often in my own time.

>However, the rewards I have received through networking, educating others

>about school nursing as well as learning about the other agencies have

>been

>so worthwhile. I feel I have a much broader vision ad try to pass this on

>to

>fellow health professionals.

>-Junior Citizen is a multi agency activity for last year primary

>children,

>organised by the police. I know many School nUrses will have been involved

>with this for years. However, in my Trust we had never been able to say yes

>for some reason until last year I had a dynamic specialist practice

>student

>who offered to do it . It went so well and now I am in the position to say

>yes. There is a VIP day and so I have suggested that they invite the PCT's

>new Chairman along!

>Nicky

_________________________________________________________________

MSN Photos is the easiest way to share and print your photos:

http://photos.msn.com/support/worldwide.aspx

March 7, 2002

Well it is a long story

but the short version is very interesting!!!!

We have very stringent monitoring requirements (from the Sure Start

Unit)that have to be met in terms of laying down baseline measurement data

and ongoing data collection as we begin the process of looking at what we

want of Sure Start in this making a difference thing in the local area.

The idea being that you lay down baseline statistics demonstrating the

things that the professionals know but dont count, low contact with support

mechanisms (all agencies)low levels of literacy, high levels of smoking

particularly in pregnancy, undetected PND. We gather this and much more now

alongside the information that does exist like, school achievement (key

stage information) levels of unemployment, levels of teenage pregnancy,

unsupported lone parenting. A big long list.

Anyway some of the data has never been collected before, doesn't exist in

the way it is needed or has been collected centrally involving another ward

that is not part of the Sure Start area so lots of unravelling to do on the

data collection front and lots of thinking around the best ways to collect

the data. Today I have been working on a sampling frame for a doorstep

survey that we are planning. Anyway so far - we have collected the easy

stuff that is centrally held like numbers of new births, numbers of year

ones year twos etc.

We have just gone live with our new systems designed to give us much more

precise information. Collating how much contact Sure Start families have

with the HV service and other agencies together and separately. Anyway once

we get to the end of the number crunching we can get to the interesting (to

me) qualitative data gathering. So here we are in a Sure Start area all

learning about it (the area) together in a new numerical way that we hope

will demonstrate over time that providing a massive shot in the arm in terms

of resources will make a difference. Together we are building our own data

base,our own evidence base to demonstrate that what we are doing makes a

difference (we hope) The information doesn't get sent away anywhere it is

being developed by the health visitors with the help of the Sure Start team

and it is being developed in such a way that the health visitors and

hopefully School nurses in time will be able to have really flexible and

responsive access to our own area stats. Well thats the idea Malcolm, but

for hard-pressed practitioners the learning curve is steep and the burden of

extra work appears to be a lot in the short term. We look to the day when

the system just flows!!! What did I say about this being the short

version!!!!!!!!! Anyway I am finding it very exciting, particularly this new

database that we have just set up to slot all these newly collected numbers

into. Cowley will be fainting at me finding numbers exciting!!!!!

>From: " M.Rigler " <M.Rigler@...>

>Reply-

>< >

>Subject: Re: advice

>Date: Thu, 7 Mar 2002 08:38:16 -0000

>

> Over 20 years ago I read an editorial in the International Journal

>of EPidemiology that real health improvements could only be achieved if we

>moved away from disease focused epidemiology to person focused

>epidemiology.

>Sadly I have not since been able to find that editorial since . However, I

>believe that the disease focused education and training of doctors is still

>dominating health visiting work and that this " breakthrough " in

>epidemiological thinking called for 2 decades ago in that editorial is

>still

>very much needed so yes please do tell us more about what is happening on

>the epidemiological front of Sure Start.

> Regards, Malcolm

> Re: advice

> > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > >

> > > Cowley, Hean, and myself are interested in

> > >gaining an overview of health visiting (and hopefully

> > >school nursing) roles. This would enable us then, to look

> > >at changing roles, how they extend and try to understand

> > >how they might develop.

> > >

> > >We thought to carry out a scoping exercise to find out what

> > >registered health visitors and school nurses are doing -

> > >what roles they are fulfilling. This would provide a

> > >knowledge-base on which any future research could be

> > >grounded.

> > >

> > >The type of questions we have thought about relate to the

> > >following: geographical location, urban/rural etc.;

> > > work situation, where based; if they have a

> > >caseload - nature of it, understanding of the term

> > >'caseload'; if no caseload, how do they describe their

> > >responsibilities qualifications and whether they

> > >need the HV qualification for their post; extra work

> > >responsibilities outside immediate caseload; HV's

> > >perceptions of value of work, specific aspects;

> > >support networks eg. clinical supervision.

> > >

> > >Have we left anything out that you think would be useful?

> > >I would be grateful if you could let me know if you have

> > >undertaken any similar work (however small), used any

> > >questions you found useful, or have any other suggestions.

> > >

> > >Please contact me on toity.deave@... or 020 7848

> > >3527.

> > >

> > >Thank you

> > >Toity

> > >

> > >----------------------

> > >Dr. Toity Deave

> > >Research Fellow

> > >Primary Care Nursing Research Unit, Rm 2.26

> > >Florence Nightingale School of Nursing and Midwifery

> > > Clerk Maxwell Building

> > >Waterloo Road

> > >London SE1 8WA

> > >Tel: 020 7848 3527

> > >Fax: 020 7848 3792

> > >toity.deave@...

> > >

> >

> > _________________________________________________________________

> > Get your FREE download of MSN Explorer at

>http://explorer.msn.com/intl.asp.

> >

March 8, 2002

Thanks for this. This just confirms my view that for Community Practice

and Health Visiting to thrive we do need a lot of numbers ,carefully

collected ,informed by our intuitive as well as our rational minds. All ,

absolutely ALL , PCT Public Health Leads must have this story put before

them again and again , and they must devote funds to this aspect of Public

Health - I think there ought to be A National Service Framework for

Primary Care Epidemiology based on your initial work.

Can we go to Dr Sheila Adam ( Deputy CMO at Dept of Health , who holds

the Primary Care Portfolio at the Dept. - to discuss this issue using your

email as the basis for this ? Can your Sure Start Director be drawn into

this conversation ?

Best wishes, Malcolm

Re: advice

> > > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > > >

> > > > Cowley, Hean, and myself are interested in

> > > >gaining an overview of health visiting (and hopefully

> > > >school nursing) roles. This would enable us then, to look

> > > >at changing roles, how they extend and try to understand

> > > >how they might develop.

> > > >

> > > >We thought to carry out a scoping exercise to find out what

> > > >registered health visitors and school nurses are doing -

> > > >what roles they are fulfilling. This would provide a

> > > >knowledge-base on which any future research could be

> > > >grounded.

> > > >

> > > >The type of questions we have thought about relate to the

> > > >following: geographical location, urban/rural etc.;

> > > > work situation, where based; if they have a

> > > >caseload - nature of it, understanding of the term

> > > >'caseload'; if no caseload, how do they describe their

> > > >responsibilities qualifications and whether they

> > > >need the HV qualification for their post; extra work

> > > >responsibilities outside immediate caseload; HV's

> > > >perceptions of value of work, specific aspects;

> > > >support networks eg. clinical supervision.

> > > >

> > > >Have we left anything out that you think would be useful?

> > > >I would be grateful if you could let me know if you have

> > > >undertaken any similar work (however small), used any

> > > >questions you found useful, or have any other suggestions.

> > > >

> > > >Please contact me on toity.deave@... or 020 7848

> > > >3527.

> > > >

> > > >Thank you

> > > >Toity

> > > >

> > > >----------------------

> > > >Dr. Toity Deave

> > > >Research Fellow

> > > >Primary Care Nursing Research Unit, Rm 2.26

> > > >Florence Nightingale School of Nursing and Midwifery

> > > > Clerk Maxwell Building

> > > >Waterloo Road

> > > >London SE1 8WA

> > > >Tel: 020 7848 3527

> > > >Fax: 020 7848 3792

> > > >toity.deave@...

> > > >

> > >

> > > _________________________________________________________________

> > > Get your FREE download of MSN Explorer at

> >http://explorer.msn.com/intl.asp.

> > >

March 8, 2002

, I thought you'd find this interesting. If you want to join

Senate (its mainly us HVs, but includes the wonderful Woody

Caan) contact Cowley at Kings. I'm not technologically

literate enough to know whether you can just email Senate by my

forwarding this to you.

< >

From: " M.Rigler " <M.Rigler@...>

Date sent: Fri, 8 Mar 2002 09:20:51 -0000

Subject: Re: advice

Send reply to:

[ Double-click this line for list subscription options ]

Thanks for this. This just confirms my view that for Community Practice

and Health Visiting to thrive we do need a lot of numbers ,carefully

collected ,informed by our intuitive as well as our rational minds. All ,

absolutely ALL , PCT Public Health Leads must have this story put before

them again and again , and they must devote funds to this aspect of Public

Health - I think there ought to be A National Service Framework for

Primary Care Epidemiology based on your initial work.

Can we go to Dr Sheila Adam ( Deputy CMO at Dept of Health , who holds

the Primary Care Portfolio at the Dept. - to discuss this issue using your

email as the basis for this ? Can your Sure Start Director be drawn into

this conversation ?

Best wishes, Malcolm

Re: advice

> > > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > > >

> > > > Cowley, Hean, and myself are interested in

> > > >gaining an overview of health visiting (and hopefully

> > > >school nursing) roles. This would enable us then, to look

> > > >at changing roles, how they extend and try to understand

> > > >how they might develop.

> > > >

> > > >We thought to carry out a scoping exercise to find out what

> > > >registered health visitors and school nurses are doing -

> > > >what roles they are fulfilling. This would provide a

> > > >knowledge-base on which any future research could be

> > > >grounded.

> > > >

> > > >The type of questions we have thought about relate to the

> > > >following: geographical location, urban/rural etc.;

> > > > work situation, where based; if they have a

> > > >caseload - nature of it, understanding of the term

> > > >'caseload'; if no caseload, how do they describe their

> > > >responsibilities qualifications and whether they

> > > >need the HV qualification for their post; extra work

> > > >responsibilities outside immediate caseload; HV's

> > > >perceptions of value of work, specific aspects;

> > > >support networks eg. clinical supervision.

> > > >

> > > >Have we left anything out that you think would be useful?

> > > >I would be grateful if you could let me know if you have

> > > >undertaken any similar work (however small), used any

> > > >questions you found useful, or have any other suggestions.

> > > >

> > > >Please contact me on toity.deave@... or 020 7848

> > > >3527.

> > > >

> > > >Thank you

> > > >Toity

> > > >

> > > >----------------------

> > > >Dr. Toity Deave

> > > >Research Fellow

> > > >Primary Care Nursing Research Unit, Rm 2.26

> > > >Florence Nightingale School of Nursing and Midwifery

> > > > Clerk Maxwell Building

> > > >Waterloo Road

> > > >London SE1 8WA

> > > >Tel: 020 7848 3527

> > > >Fax: 020 7848 3792

> > > >toity.deave@...

> > > >

> > >

> > > _________________________________________________________________

> > > Get your FREE download of MSN Explorer at

> >http://explorer.msn.com/intl.asp.

> > >

March 8, 2002

Oh dear. I'm also not technologically literate enough to press

forward rather than reply! How fortunate that I was complimentary

about Woody!

Organization: the University of Greenwich

Priority: normal

From: " MEERABEAU ELIZABETH " <E.Meerabeau@...>

Date sent: Fri, 8 Mar 2002 10:40:15 GMT

Subject: Re: advice

Send reply to:

[ Double-click this line for list subscription options ]

, I thought you'd find this interesting. If you want to join

Senate (its mainly us HVs, but includes the wonderful Woody

Caan) contact Cowley at Kings. I'm not technologically

literate enough to know whether you can just email Senate by my

forwarding this to you.

< >

From: " M.Rigler " <M.Rigler@...>

Date sent: Fri, 8 Mar 2002 09:20:51 -0000

Subject: Re: advice

Send reply to:

[ Double-click this line for list subscription options ]

Thanks for this. This just confirms my view that for Community Practice

and Health Visiting to thrive we do need a lot of numbers ,carefully

collected ,informed by our intuitive as well as our rational minds. All ,

absolutely ALL , PCT Public Health Leads must have this story put before

them again and again , and they must devote funds to this aspect of Public

Health - I think there ought to be A National Service Framework for

Primary Care Epidemiology based on your initial work.

Can we go to Dr Sheila Adam ( Deputy CMO at Dept of Health , who holds

the Primary Care Portfolio at the Dept. - to discuss this issue using your

email as the basis for this ? Can your Sure Start Director be drawn into

this conversation ?

Best wishes, Malcolm

Re: advice

> > > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > > >

> > > > Cowley, Hean, and myself are interested in

> > > >gaining an overview of health visiting (and hopefully

> > > >school nursing) roles. This would enable us then, to look

> > > >at changing roles, how they extend and try to understand

> > > >how they might develop.

> > > >

> > > >We thought to carry out a scoping exercise to find out what

> > > >registered health visitors and school nurses are doing -

> > > >what roles they are fulfilling. This would provide a

> > > >knowledge-base on which any future research could be

> > > >grounded.

> > > >

> > > >The type of questions we have thought about relate to the

> > > >following: geographical location, urban/rural etc.;

> > > > work situation, where based; if they have a

> > > >caseload - nature of it, understanding of the term

> > > >'caseload'; if no caseload, how do they describe their

> > > >responsibilities qualifications and whether they

> > > >need the HV qualification for their post; extra work

> > > >responsibilities outside immediate caseload; HV's

> > > >perceptions of value of work, specific aspects;

> > > >support networks eg. clinical supervision.

> > > >

> > > >Have we left anything out that you think would be useful?

> > > >I would be grateful if you could let me know if you have

> > > >undertaken any similar work (however small), used any

> > > >questions you found useful, or have any other suggestions.

> > > >

> > > >Please contact me on toity.deave@... or 020 7848

> > > >3527.

> > > >

> > > >Thank you

> > > >Toity

> > > >

> > > >----------------------

> > > >Dr. Toity Deave

> > > >Research Fellow

> > > >Primary Care Nursing Research Unit, Rm 2.26

> > > >Florence Nightingale School of Nursing and Midwifery

> > > > Clerk Maxwell Building

> > > >Waterloo Road

> > > >London SE1 8WA

> > > >Tel: 020 7848 3527

> > > >Fax: 020 7848 3792

> > > >toity.deave@...

> > > >

> > >

> > > _________________________________________________________________

> > > Get your FREE download of MSN Explorer at

> >http://explorer.msn.com/intl.asp.

> > >

March 8, 2002

Malcolm I am very happy for you to sprinkle anything of mine that you

consider gold dust out into the wider world. Reminding everyone that this

forum is about debate, discussion, supporting practice, raising awareness of

professional issues and looking at how we can move community practice

forward together. I personally think it is wonderful that we are becoming

more diverse than our title HV-SN.

>From: " MEERABEAU ELIZABETH " <E.Meerabeau@...>

>Reply-

>

>Subject: Re: advice

>Date: Fri, 8 Mar 2002 10:45:15 GMT

>

>Oh dear. I'm also not technologically literate enough to press

>forward rather than reply! How fortunate that I was complimentary

>about Woody!

>

>Organization: the University of Greenwich

>

>Priority: normal

>From: " MEERABEAU ELIZABETH " <E.Meerabeau@...>

>Date sent: Fri, 8 Mar 2002 10:40:15 GMT

>Subject: Re: advice

>Send reply to:

>

>[ Double-click this line for list subscription options ]

>

>, I thought you'd find this interesting. If you want to join

>Senate (its mainly us HVs, but includes the wonderful Woody

>Caan) contact Cowley at Kings. I'm not technologically

>literate enough to know whether you can just email Senate by my

>forwarding this to you.

>

> < >

>From: " M.Rigler " <M.Rigler@...>

>Date sent: Fri, 8 Mar 2002 09:20:51 -0000

>Subject: Re: advice

>Send reply to:

>

>[ Double-click this line for list subscription options ]

>

> Thanks for this. This just confirms my view that for Community

>Practice

>and Health Visiting to thrive we do need a lot of numbers ,carefully

>collected ,informed by our intuitive as well as our rational minds. All ,

>absolutely ALL , PCT Public Health Leads must have this story put before

>them again and again , and they must devote funds to this aspect of Public

>Health - I think there ought to be A National Service Framework for

>Primary Care Epidemiology based on your initial work.

> Can we go to Dr Sheila Adam ( Deputy CMO at Dept of Health , who

>holds

>the Primary Care Portfolio at the Dept. - to discuss this issue using your

>email as the basis for this ? Can your Sure Start Director be drawn into

>this conversation ?

> Best wishes, Malcolm

> Re: advice

> > > > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > > > >

> > > > > Cowley, Hean, and myself are interested in

> > > > >gaining an overview of health visiting (and hopefully

> > > > >school nursing) roles. This would enable us then, to look

> > > > >at changing roles, how they extend and try to understand

> > > > >how they might develop.

> > > > >

> > > > >We thought to carry out a scoping exercise to find out what

> > > > >registered health visitors and school nurses are doing -

> > > > >what roles they are fulfilling. This would provide a

> > > > >knowledge-base on which any future research could be

> > > > >grounded.

> > > > >

> > > > >The type of questions we have thought about relate to the

> > > > >following: geographical location, urban/rural etc.;

> > > > > work situation, where based; if they have a

> > > > >caseload - nature of it, understanding of the term

> > > > >'caseload'; if no caseload, how do they describe their

> > > > >responsibilities qualifications and whether they

> > > > >need the HV qualification for their post; extra work

> > > > >responsibilities outside immediate caseload; HV's

> > > > >perceptions of value of work, specific aspects;

> > > > >support networks eg. clinical supervision.

> > > > >

> > > > >Have we left anything out that you think would be useful?

> > > > >I would be grateful if you could let me know if you have

> > > > >undertaken any similar work (however small), used any

> > > > >questions you found useful, or have any other suggestions.

> > > > >

> > > > >Please contact me on toity.deave@... or 020 7848

> > > > >3527.

> > > > >

> > > > >Thank you

> > > > >Toity

> > > > >

> > > > >----------------------

> > > > >Dr. Toity Deave

> > > > >Research Fellow

> > > > >Primary Care Nursing Research Unit, Rm 2.26

> > > > >Florence Nightingale School of Nursing and Midwifery

> > > > > Clerk Maxwell Building

> > > > >Waterloo Road

> > > > >London SE1 8WA

> > > > >Tel: 020 7848 3527

> > > > >Fax: 020 7848 3792

> > > > >toity.deave@...

> > > > >

> > > >

> > > > _________________________________________________________________

> > > > Get your FREE download of MSN Explorer at

> > >http://explorer.msn.com/intl.asp.

> > > >

March 8, 2002

Have you considered NVQ 3 Early years in child care and education

(optional units)?Ann

>From: " Horsley " <andKev@...>

>Reply-

>< >

>Subject: Re: advice

>Date: Fri, 8 Mar 2002 20:33:38 -0000

>

>I totally agree with you, and speaking of supporting practice, I am taking

>the lead in developing a competency programme for nursery nurses in the

>community with a view to upgrading. As such I would be extremely grateful

>for suggestions/ideas from other Trusts, so feel free to inundate me!!!

> Horsley

> Re: advice

> > > > > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > > > > >

> > > > > > Cowley, Hean, and myself are interested in

> > > > > >gaining an overview of health visiting (and hopefully

> > > > > >school nursing) roles. This would enable us then, to look

> > > > > >at changing roles, how they extend and try to understand

> > > > > >how they might develop.

> > > > > >

> > > > > >We thought to carry out a scoping exercise to find out what

> > > > > >registered health visitors and school nurses are doing -

> > > > > >what roles they are fulfilling. This would provide a

> > > > > >knowledge-base on which any future research could be

> > > > > >grounded.

> > > > > >

> > > > > >The type of questions we have thought about relate to the

> > > > > >following: geographical location, urban/rural etc.;

> > > > > > work situation, where based; if they have a

> > > > > >caseload - nature of it, understanding of the term

> > > > > >'caseload'; if no caseload, how do they describe their

> > > > > >responsibilities qualifications and whether they

> > > > > >need the HV qualification for their post; extra work

> > > > > >responsibilities outside immediate caseload; HV's

> > > > > >perceptions of value of work, specific aspects;

> > > > > >support networks eg. clinical supervision.

> > > > > >

> > > > > >Have we left anything out that you think would be useful?

> > > > > >I would be grateful if you could let me know if you have

> > > > > >undertaken any similar work (however small), used any

> > > > > >questions you found useful, or have any other suggestions.

> > > > > >

> > > > > >Please contact me on toity.deave@... or 020 7848

> > > > > >3527.

> > > > > >

> > > > > >Thank you

> > > > > >Toity

> > > > > >

> > > > > >----------------------

> > > > > >Dr. Toity Deave

> > > > > >Research Fellow

> > > > > >Primary Care Nursing Research Unit, Rm 2.26

> > > > > >Florence Nightingale School of Nursing and Midwifery

> > > > > > Clerk Maxwell Building

> > > > > >Waterloo Road

> > > > > >London SE1 8WA

> > > > > >Tel: 020 7848 3527

> > > > > >Fax: 020 7848 3792

> > > > > >toity.deave@...

> > > > > >

> > > > >

>_________________________________________________________________

> > > > > Get your FREE download of MSN Explorer at

> > > >http://explorer.msn.com/intl.asp.

> > > > >

March 8, 2002

Ann, thanks! I hadn't thought about NVQ competencies but I suppose that

would take a lot of the hard work out of devising new competencies. Is there

much skill mix out there in community nursery nursing?

Re: advice

> > > > > > >Date: Wed, 6 Mar 2002 11:36:10 -0800 (Pacific Standard Time)

> > > > > > >

> > > > > > > Cowley, Hean, and myself are interested in

> > > > > > >gaining an overview of health visiting (and hopefully

> > > > > > >school nursing) roles. This would enable us then, to look

> > > > > > >at changing roles, how they extend and try to understand

> > > > > > >how they might develop.

> > > > > > >

> > > > > > >We thought to carry out a scoping exercise to find out what

> > > > > > >registered health visitors and school nurses are doing -

> > > > > > >what roles they are fulfilling. This would provide a

> > > > > > >knowledge-base on which any future research could be

> > > > > > >grounded.

> > > > > > >

> > > > > > >The type of questions we have thought about relate to the

> > > > > > >following: geographical location, urban/rural etc.;

> > > > > > > work situation, where based; if they have a

> > > > > > >caseload - nature of it, understanding of the term

> > > > > > >'caseload'; if no caseload, how do they describe their

> > > > > > >responsibilities qualifications and whether they

> > > > > > >need the HV qualification for their post; extra work

> > > > > > >responsibilities outside immediate caseload; HV's

> > > > > > >perceptions of value of work, specific aspects;

> > > > > > >support networks eg. clinical supervision.

> > > > > > >

> > > > > > >Have we left anything out that you think would be useful?

> > > > > > >I would be grateful if you could let me know if you have

> > > > > > >undertaken any similar work (however small), used any

> > > > > > >questions you found useful, or have any other suggestions.

> > > > > > >

> > > > > > >Please contact me on toity.deave@... or 020 7848

> > > > > > >3527.

> > > > > > >

> > > > > > >Thank you

> > > > > > >Toity

> > > > > > >

> > > > > > >----------------------

> > > > > > >Dr. Toity Deave

> > > > > > >Research Fellow

> > > > > > >Primary Care Nursing Research Unit, Rm 2.26

> > > > > > >Florence Nightingale School of Nursing and Midwifery

> > > > > > > Clerk Maxwell Building

> > > > > > >Waterloo Road

> > > > > > >London SE1 8WA

> > > > > > >Tel: 020 7848 3527

> > > > > > >Fax: 020 7848 3792

> > > > > > >toity.deave@...

> > > > > > >

> > > > > >

> >_________________________________________________________________

> > > > > > Get your FREE download of MSN Explorer at

> > > > >http://explorer.msn.com/intl.asp.

> > > > > >

March 9, 2002

, if you are looking for relevant competencies, the attached 'Core

Curriculum for the Training of Staff for Work With Parents' was devised by the

Parenting Education and Support Forum (www.parenting-forum.org.uk); I think it

is intended for NVQ level 3. I think it is impressively comprehensive, but

confess that I do not know how much a qualified nursery nurse would already

have covered. Best wishes

Horsley wrote:

> Ann, thanks! I hadn't thought about NVQ competencies but I suppose that

> would take a lot of the hard work out of devising new competencies. Is there

> much skill mix out there in community nursery nursing?

> Re: advice

March 12, 2002

Louise,

I am under a welter of work at the moment but I just wanted to say belatedly

how generous of you to share your work, I can almost hear Senate members up

and down the country fetching the good ideas out of it to turn into

something else for their own needs or finding something in it that sets them

on a problem solving track all of their own. Its funny how we share these

things and never know about the knock on effects. Maybe people might share

some of the domino effect of that. Reading the questionnaire reminded me to

go back into the HV Resource pack 2001 for something else that I am putting

together that has nothing to do with reviews so that is an unexpected

outcome. Thank you for sharing your ideas.

>From: " Dyke Louise (RTT) NURSING & QUALITY - SWCC-TR "

><louise.dyke@...>

>Reply-

> " ' ' " < >

>Subject: RE: advice

>Date: Thu, 7 Mar 2002 10:44:37 -0000

>

>Hi Toity

>

>In Warwickshire we are currently reviewing health visiting activities and

>in

>order to collect baseline information have sent a questionnaire to all

>health visitors. At the moment we are at the data entry stage, hoping to

>produce the report by June. We have also asked all the health visitors to

>complete the public health skills toolkit from the Health Visiting

>Development Resource Pack in order to identify training needs and to

>commission training to meet these needs at Coventry University. We are

>very

>happy to share with you the questionnaire we devised which we based on the

>Review of Health Visiting and School Health Services in Wales by June

>and Margaret Buttigieg et al. You will see that the data collection

>includes: a workforce profile, caseload profile, details of fixed sessions

>and group activities, current core health visiting activities and what

>should be offered in the future, health visiting models and tools in

>practice, sections on skill mix activities, integrated working,

>multidisciplinary working and multiagency working (including identification

>of any barriers), support and supervision, ETD, profiling, public health

>activities, and finally information management ( modified from the CPHVA's

>Making IT happen campaign). We piloted the questionnaire before sending it

>out but unfortunately it appears there are flaws in one or two areas which

>will need to be acknowledged in the report. Hope you find it useful.

>

>Please contact us for any further information. Also we hope to be at

>Danbury Park .

>

>Best wishes

>

>Louise Dyke and McNally

>Health Visiting Nurse Advisers for Warwickshire

>South Warwickshire Combined Care NHS Trust

>Tel: 01924 403403

>

> Re: advice

>

>Hi Toity,

>How about if their caseload is GP attached or whether they work a

>geographical area or possible a combination. (See this month's journal re

>'Whole systems approach'.)

>

> Re: advice

> > Send reply to:

> >

> > [ Double-click this line for list subscription options ]

> >

> > Cowley, Hean, and myself are interested in

> > gaining an overview of health visiting (and hopefully

> > school nursing) roles. This would enable us then, to look

> > at changing roles, how they extend and try to understand

> > how they might develop.

> >

> > We thought to carry out a scoping exercise to find out what

> > registered health visitors and school nurses are doing -

> > what roles they are fulfilling. This would provide a

> > knowledge-base on which any future research could be

> > grounded.

> >

> > The type of questions we have thought about relate to the

> > following: geographical location, urban/rural etc.;

> > work situation, where based; if they have a

> > caseload - nature of it, understanding of the term

> > 'caseload'; if no caseload, how do they describe their

> > responsibilities qualifications and whether they

> > need the HV qualification for their post; extra work

> > responsibilities outside immediate caseload; HV's

> > perceptions of value of work, specific aspects;

> > support networks eg. clinical supervision.

> >

> > Have we left anything out that you think would be useful?

> > I would be grateful if you could let me know if you have

> > undertaken any similar work (however small), used any

> > questions you found useful, or have any other suggestions.

> >

> > Please contact me on toity.deave@... or 020 7848

> > 3527.

> >

> > Thank you

> > Toity

> >

> > ----------------------

> > Dr. Toity Deave

> > Research Fellow

> > Primary Care Nursing Research Unit, Rm 2.26

> > Florence Nightingale School of Nursing and Midwifery

> > Clerk Maxwell Building

> > Waterloo Road

> > London SE1 8WA

> > Tel: 020 7848 3527

> > Fax: 020 7848 3792

> > toity.deave@...

> >

March 13, 2002

,

Thank you for your reply. We were very grateful for the work previously

shared with us, mainly the Review of Health Visiting and School Nursing in

Wales for ideas on content of the questionnaire and also the methodology.

We could have kept adding to it but didn't want it to be too unwieldy (our

health visitors took quite a long time over completing it).

The great thing about Senate and the HV-SN Forum is the the sharing of

information and ideas and the support to each other. My hard drive is full

of files containing saved emails which I use as a resource as and when I

need to. Invaluable! Thanks to everyone

Best wishes

Louise

Louise Dyke

Health Visiting Nurse Adviser/ Clinical Effectiveness and Audit Facilitator

South Warwickshire Combined Care NHS Trust

Tel: 01924 403403

Re: advice

>

>Hi Toity,

>How about if their caseload is GP attached or whether they work a

>geographical area or possible a combination. (See this month's journal re

>'Whole systems approach'.)

>

> Re: advice

> > Send reply to:

> >

> > [ Double-click this line for list subscription options ]

> >

> > Cowley, Hean, and myself are interested in

> > gaining an overview of health visiting (and hopefully

> > school nursing) roles. This would enable us then, to look

> > at changing roles, how they extend and try to understand

> > how they might develop.

> >

> > We thought to carry out a scoping exercise to find out what

> > registered health visitors and school nurses are doing -

> > what roles they are fulfilling. This would provide a

> > knowledge-base on which any future research could be

> > grounded.

> >

> > The type of questions we have thought about relate to the

> > following: geographical location, urban/rural etc.;

> > work situation, where based; if they have a

> > caseload - nature of it, understanding of the term

> > 'caseload'; if no caseload, how do they describe their

> > responsibilities qualifications and whether they

> > need the HV qualification for their post; extra work

> > responsibilities outside immediate caseload; HV's

> > perceptions of value of work, specific aspects;

> > support networks eg. clinical supervision.

> >

> > Have we left anything out that you think would be useful?

> > I would be grateful if you could let me know if you have

> > undertaken any similar work (however small), used any

> > questions you found useful, or have any other suggestions.

> >

> > Please contact me on toity.deave@... or 020 7848

> > 3527.

> >

> > Thank you

> > Toity

> >

> > ----------------------

> > Dr. Toity Deave

> > Research Fellow

> > Primary Care Nursing Research Unit, Rm 2.26

> > Florence Nightingale School of Nursing and Midwifery

> > Clerk Maxwell Building

> > Waterloo Road

> > London SE1 8WA

> > Tel: 020 7848 3527

> > Fax: 020 7848 3792

> > toity.deave@...

> >

March 13, 2002

Louise, thank you very much for generously sharing your

work with us. At some point in the future, when we have

done some more work on this, I hope that we might be able

to share it with you, in return.

Best wishes

Toity

----------------------

Dr. Toity Deave

Research Fellow

Primary Care Nursing Research Unit, Rm 2.26

Florence Nightingale School of Nursing and Midwifery

Clerk Maxwell Building

Waterloo Road

London SE1 8WA

Tel: 020 7848 3527

Fax: 020 7848 3792

toity.deave@...

March 14, 2002

Hi Louise

I to was interested in the questionnaire - I am not so good on the computer

at laying things out but I was pleased that the questions you are asking are

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